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Individual

TYLER GLEN KELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
20805 W 151ST ST, SUITE 224, OLATHE, KS 66061-7249
(913) 782-8300
(913) 782-1574
Mailing address
20805 W 151ST ST, SUITE 224, OLATHE, KS 66061-7249
(913) 782-8300
(913) 782-1574

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01699
KS

Other

Enumeration date
09/10/2013
Last updated
08/05/2014
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